Active NPI
Charles Christopher Wills, M.A., M.S. ED., BCBA
- Behavior Analyst
- Runnemede, NJ
National Provider Identifier
1699909929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 01-04-1848
- Practice address
- 124 Hartford Dr Apt 9
Runnemede, NJ 08078-2114 - Phone
- (856) 278-2482
- NPI assigned
- May 14, 2009
- Last updated
- Mar 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 01-04-1848 | FL | Primary |
Addresses
Primary practice location
124 Hartford Dr Apt 9
Runnemede, NJ 08078-2114
Mailing address
124 Hartford Dr Apt 9
Runnemede, NJ 08078-2114
Phone (856) 278-2482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1699909929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HARTFORD DR APT 9",
"city": "RUNNEMEDE",
"state": "NJ",
"postal_code": "080782114",
"telephone_number": "856-278-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HARTFORD DR APT 9",
"city": "RUNNEMEDE",
"state": "NJ",
"postal_code": "080782114",
"telephone_number": "856-278-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "CHARLES",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "M.A., M.S. ED., BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-14",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "01-04-1848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Runnemede, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.